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Involving nurses in decisions: improving both nurse and patient outcomes
Janet Houser1, Lysa ErkenBrack, Lydia Handberry
1Rueckert-Hartman College for Health Professions, Regis University, Denver, Colorado 80221, USA. jhouser@regis.edu
Objective:
The objective of this study was to determine the relationship between nurse involvement in decisions and nurse-patient outcomes.
Background:
Evidence demonstrates that nurse involvement is associated with satisfaction, but little evidence exists about patient effects. Because of significant resource expenditure, evidence about expected outcomes is needed.
Methods:
Outcomes classified as patient satisfaction, nurse satisfaction, infections, and adverse events were compared between units with high and low levels of involvement from 9 hospitals in Colorado.
Results:
Involving nurses in outcomes evaluation was associated with better patient outcomes. High involvement units had fewer infections and pressure ulcers.
Conclusions:
A formal structure was not required to involve nurses in decisions and is related to nurse and patient satisfaction demonstrating a reduction in adverse events.
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